Fertility and sterility · 2006
Abdominal myomectomy in women with very large uterine size.
СтатьяНазвание и аннотация: Перевод в очереди
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West Stanley, Ruiz Reginald, Parker William H
Аннотация
OBJECTIVE: To evaluate feasibility and safety of abdominal myomectomy with uterine myomas equal to or greater than 16 weeks in size.
DESIGN: Retrospective chart review.
SETTING: Private hospital.
PATIENT(S): Women with uterine fibroids equal to or larger than 16 weeks in size.
INTERVENTION(S): Abdominal myomectomy performed by one surgeon between March 1, 1998-February 28, 2003.
MAIN OUTCOME MEASURE(S): Operating time, estimated blood loss, transfusion, cell-saver use, number and weight of fibroids removed, complications, pathology, and hospital stay were evaluated.
RESULT(S): Ninety-one abdominal myomectomies met criteria. Mean operating time was 236 minutes (range, 120-390 minutes). Mean estimated blood loss was 794 mL (range, 50-3,000 mL). Seven (8%) women required homologous transfusion. Complications included one bowel injury, one bladder injury, one wound infection, and one reoperation for incarcerated small bowel. No woman had a uterine sarcoma or adenocarcinoma, and none required conversion to hysterectomy.
CONCLUSION(S): Large uterine size does not preclude abdominal myomectomy and the results compare favorably with prior studies of hysterectomy for similar size uteri.
DESIGN: Retrospective chart review.
SETTING: Private hospital.
PATIENT(S): Women with uterine fibroids equal to or larger than 16 weeks in size.
INTERVENTION(S): Abdominal myomectomy performed by one surgeon between March 1, 1998-February 28, 2003.
MAIN OUTCOME MEASURE(S): Operating time, estimated blood loss, transfusion, cell-saver use, number and weight of fibroids removed, complications, pathology, and hospital stay were evaluated.
RESULT(S): Ninety-one abdominal myomectomies met criteria. Mean operating time was 236 minutes (range, 120-390 minutes). Mean estimated blood loss was 794 mL (range, 50-3,000 mL). Seven (8%) women required homologous transfusion. Complications included one bowel injury, one bladder injury, one wound infection, and one reoperation for incarcerated small bowel. No woman had a uterine sarcoma or adenocarcinoma, and none required conversion to hysterectomy.
CONCLUSION(S): Large uterine size does not preclude abdominal myomectomy and the results compare favorably with prior studies of hysterectomy for similar size uteri.